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Background:

There is a need for interventions to promote uptake of breast screening throughout Europe.

Methods:

We performed a single-blind randomised controlled trial to test whether text-message reminders were effective. Two thousand two hundred and forty women receiving their first breast screening invitation were included in the study and randomly assigned in a 1: 1 ratio to receive either a normal invitation only (n= 1118) or a normal invitation plus a text-message reminder 48 h before their appointment (n= 1122).

Findings:

In the intention-to-treat analysis, uptake of breast screening was 59.1% among women in the normal invitation group and 64.4% in the text-message reminder group (χ 2= 6.47, odds ratio (OR): 1.26, 95% confidence intervals (CI): 1.05–1.48, P= 0.01). Of the 1122 women assigned to the text-message reminder group, only 456 (41%) had a mobile number recorded by their GP and were …